After a cancer diagnosis, everyone’s journey is different.

Lea Ann Morrow is the cancer support services supervisor with Salem Hospital. Morrow said in those first few weeks, it’s often a whirlwind of emotions, decisions and adjustments.

“It’s common to feel a mix of disbelief, fear, anger or sadness,” she said. “Processing the diagnosis can take time, and seeking emotional support from loved ones or professionals can be helpful.”

Morrow said those early weeks often involve building a team. That could include oncologists, surgeons, nurse navigators, dietitians and resource coordinators. This team may recommend additional tests, such as biopsies or imaging, to determine the best course of action. Depending on the diagnosis, treatments like surgery, chemotherapy or radiation therapy may be discussed.

Your first provider appointment

“Before your first appointment, the providers’ office will work with you to collect information about your medical history, your test and imaging results, and other details about your symptoms and family history,” Morrow said. “It is highly recommended you bring a friend or family member for support, note-taking, and to help process information after.”

During that appointment, providers will ask patients to share their story, including how and when symptoms began. They may perform a physical exam to gather more information.

“Throughout the appointment, your provider will explain your diagnosis, including the type and stage of cancer, and discuss potential treatment options,” Morrow said. “They’ll also answer questions you may have about your diagnosis and potential treatment. Lastly, you’ll work to create a plan for further tests, treatments, or consultations with specialists.”

Meeting the Oncology Nurse Navigator

Patients will also meet with an Oncology Nurse Navigator (ONN). That initial appointment is designed to make people feel informed and supported and will start with a comprehensive assessment.

“During this assessment, the nurse will ask questions to understand your overall physical, spiritual and mental health, as well as current symptoms and any practical challenges you might be facing. This helps them establish a baseline — a starting point to track your progress,” Morrow said.

From there, the ONN can identify areas where the patient may need help. That could include managing symptoms, coordinating care or addressing practical and emotional needs. The nurse navigator will also explain the diagnosis in simple terms and provide detailed information about treatment options.

“The goal is to ensure you understand your care plan and feel empowered to make decisions,” Morrow said.

The support services supervisor notes the ONN is the go-to person for questions and concerns to guide patients throughout their journey.

“When someone is told they have cancer, it can be scary and confusing,” Morrow said. “There are so many doctors, appointments and treatments to think about. That’s where Oncology Nurse Navigators come in — they’re like helpers who guide patients through everything, making it easier for them and their families.”

After that first ONN appointment, a second appointment is scheduled between three to six weeks later depending on the needs of the patient. From there, patients can schedule additional appointments or just call as questions arise.

“An ONN can help provide additional education as patients go through their journey, help keep track of appointments and support emotional, physical and logistical challenges throughout treatment,” Morrow said. “Salem Health Oncology Nurse Navigators are here for you through your cancer journey from diagnosis all the way through into survivorship.”

Support on your journey

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